Outline

Objective

The use of standard silicon oil is limited in cases of inferior pathology. Heavier tamponade media are therefore of enormous clinical interest in complex retinal detachment surgery.

Methods

20 patients with prior retinal detachment surgery PVR development and inferior pathology were treated with heavy silicon oil (Oxane Hd; Bausch & Lomb). Included in the study were patients with complex PVR-detachments, inferior retinal pathologies and poor prognosis. The follow-up period was up to 12 month.

Results

The reattachment rate was 14/20 3 month post surgery with heavy silicone oil. A failiure of reattachment was reported in 6 out of the 20 treated patients. 4 had successful reattachment with one additional surgical invention. 6 patients showed transient IOP elevations. In one case the silicone oil went cloudy which was assigned in laboratory investigations to intraoperative used and incomplete removed PFCL liquid.

Conclusions

All patients showed good tolerance of the substance. Increased attention should be focused on physical side effects of the different substances in use during surgery to guarantee a complete removal of PFCL. In our opinion this does not limit the use of the substance. Over all a good rate of retinal reattachment was registered for these unfavourable clinical starting position.